Journal of Korean Academy of Nursing

Young Eun

19 Articles

Development and Effectiveness of Practice Application Program of Intravenous Infusion EvidenceBased Nursing Practice Guideline - for Small and Medium Sized Hospitals: Inhwa Hong, Young Eun; J Korean Acad Nurs 2020;50(6):863-875. Published online December 31, 2020; DOI: https://doi.org/10.4040/jkan.20196

Purpose
This study was conducted to develop and test the effects of a program for practice application of intravenous infusion evidence based nursing practice (EBP) guidelines in small and medium-sized hospitals.
Methods
A mixed method research design was used, combining non-equivalent control group pre-post test design with qualitative study analysis. The subjects consisted of 55 nurses. The practice application program was developed based on the Advancing Research and Clinical practice through close Collaboration (ARCC) model. Data were collected for analysis in the following areas: nurses’ EBP organizational culture and readiness, EBP beliefs, EBP implementation, importance about intravenous infusion, and performance about intravenous infusion, with data assessed using valid and reliable instruments. Patient outcomes were collected from the hospital’s medical records. Data were analyzed using t-test, χ² -test, and Shapiro-Wilk test, with qualitative content analysis used for interview data.
Results
Following the intervention, nurses’ EBP organizational culture and readiness, EBP beliefs, EBP implementation, and performance of intravenous infusion and perceptions of its importance showed significant improvement in the experimental group. Phlebitis rates decreased in the experimental group compared to the control group.
Conclusion
This program is effective to improve nurse’s perception and practice of evidence based nursing. Therefore we recommend to use this program at same levels of hospitals.

Citations

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Developing and evaluating an evidence-based practice research competency enhancement program for clinical nurses in Korea: a pilot study
Suhyun Kim, Hye Won Jeong
BMC Nursing.2024;[Epub] CrossRef
Effects of nurse’s knowledge and self-efficacy on nursing performance in pediatric intravenous fluid management in South Korea: a descriptive study
Se-Won Kim, Mi-Young Choi
Child Health Nursing Research.2024; 30(4): 288. CrossRef
Development and Evaluation of Evidence-Based Nursing Protocol for Extracorporeal Membrane Oxygenation to Critically Ill Patients
Soomi Kim, Chul-Gyu Kim
Journal of Korean Academy of Nursing.2023; 53(3): 275. CrossRef

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Reliability and Validity of Korean Version of Nursing Students’ Anxiety and Self-Confidence with Clinical Decision Making Scale: Mi Yu, Young Eun, KA White, KyungJa Kang; J Korean Acad Nurs 2019;49(4):411-422. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.4.411

Abstract PDF

Abstract Purpose

The purpose of this study was to adapt, modify, and validate the Nursing Anxiety and Self-Confidence with Clinical Decision-Making Scale (NASC-CDM^©) for Korean nursing students.

Methods

Participants were 183 nursing students with clinical practice experience in two nursing colleges. The construct validity and reliability of the final Korean version of the NASC-CDM^© were examined using exploratory and confirmatory factor analyses and testing of internal consistency reliability. For adaptation and modification, the instrument was translated from English to Korean. Expert review and a cross-sectional survey were used to test the instrument's validity.

Results

The Korean version of the NASC-CDM^© (KNASC-CDM) was composed of 23 items divided into four dimensions: (i) Listening fully and using resources to gather information; (ii) Using information to see the big picture; (iii) Knowing and acting; and (iv) Seeking information from clinical instructors. The instrument explained 60.1% of the total variance for self-confidence and 63.1% of the variance for anxiety; Cronbach's α was .93 for self-confidence and .95 for anxiety.

Conclusion

The KNASC-CDM can be used to identify anxiety and self-confidence in nursing students’ clinical decision-making in Korea. However, further research should be done to test this instrument, as it is classified differently from the original NASC-CDM^© version.

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The relationship between clinical decision-making levels and self-efficacy levels of operating room nurses
Sedat Kaya, Gizem Kubat Bakir
Perioperative Care and Operating Room Management.2024; 37: 100416. CrossRef
Clinical decision making: validation of the nursing anxiety and self-confidence with clinical decision making scale (NASC-CDM ©) into Spanish and comparative cross-sectional study in nursing students
Daniel Medel, Tania Cemeli, Krista White, Williams Contreras-Higuera, Maria Jimenez Herrera, Alba Torné-Ruiz, Aïda Bonet, Judith Roca
BMC Nursing.2024;[Epub] CrossRef
Development and Implementation of a Mobile-Integrated Simulation for COVID-19 Nursing Practice: A Randomized Controlled Pretest–Posttest Experimental Design
Sun-Hwa Lee, Jeong-Sil Choi
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Development and evaluation of a collaborative reflection-based debriefing strategy for simulation-based education using virtual simulations in practical nursing: A randomized controlled trial
Ji-Ah Yun, In-Soon Kang
Nurse Education in Practice.2024; 81: 104170. CrossRef
Constructing a Mixed Simulation With 360° Virtual Reality and a High-Fidelity Simulator
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Path model on decision‐making ability of clinical nurses
Minsook Park, Minkyung Gu, Sohyune Sok
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Achieving nursing students' clinical practice hours during the COVID‐19 pandemic: Effects of alternative and nonstandard practicum methods
Min Kyung Song, Ji‐Soo Kim
International Journal of Nursing Practice.2023;[Epub] CrossRef
Factors Related to the Problem-solving Ability of Nursing Students Who Experienced Simulation Training
Ji-Won Han
Journal of Korea Society for Simulation in Nursing.2023; 11(2): 17. CrossRef
A Concept Analysis of Nurses’ Clinical Decision Making: Implications for Korea
Sunyoung Oh, Minkyung Gu, Sohyune Sok
International Journal of Environmental Research and Public Health.2022; 19(6): 3596. CrossRef
The Korean version of the Virtual Patient Learning System Evaluation Tool: Assessment of reliability and validity
Hae Jeong An, Jung Suk Choi, Min Roh, Hyun Mi Cho, Eun Ju Choi
Nurse Education Today.2021; 106: 105093. CrossRef

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Validity and Reliability of Korean Version of the Spiritual Care Competence Scale: Mi Ja Chung, Youngrye Park, Young Eun; J Korean Acad Nurs 2016;46(6):871-880. Published online December 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.6.871

Abstract PDF

Purpose

The aim of this study was to examine the validity and reliability of the Korean Version of the Spiritual Care Competence Scale (K-SCCS).

Methods

A cross-sectional study design was used. The K-SCCS consisted of 26 questions to measure spiritual care competence of nurses. Participants, 228 nurses who had more than 3 years'experience as a nurse, completed the survey. Confirmatory factor analysis was used to examine the construct validity and correlations of K-SCCS and spiritual well-being (SWB) were used to examine the criterion validity of K-SCCS. Cronbach's alpha was used to test internal consistency.

Results

The construct and the criterion-related validity of K-SCCS were supported as measures of spiritual care competence. Cronbach's alpha was .95. Factor loadings of the 26 questions ranged from .60 to .96. Construct validity of K-SCCS was verified by confirmatory factor analysis (RMSEA=.08, CFI=.90, NFI=.85). Criterion validity compared to the SWB showed significant correlation (r=.44, p<.001).

Conclusion

The findings suggest that K-SCCS serves as an appropriate measure of spiritual care competence with validity and reliability. However, further study is needed to retest the verification of the factor analysis related to factor 2 (professionalisation and improving the quality of spiritual care) and factor 3 (personal support and patient counseling). Therefore, we recommend using the total score without distinguishing subscales.

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The Influence of Hospice-Palliative Nursing Knowledge, Empathy, and Attitude toward End-of-Life Care on Spiritual Care Competence of Nurses in Long-Term Care Hospital
Hye Jin Lee, Mi Sook Park
Journal of Hospice and Palliative Care.2025; 28(2): 71. CrossRef
Dissemination of the Spiritual Care Competence Scale (SCCS)
René van Leeuwen, Annemiek E. Schep-Akkerman
Journal for the Study of Spirituality.2024; 14(1): 75. CrossRef
The Relationship between Daily Spiritual Experiences and the Dimensions of Spiritual Care Competence in Nursing Students: The Dimension of Professionalization and Improvement of the Quality of Spiritual Care
Fatemeh Estebsari, Abdollah Farhadi Nasab, Mohadaseh Barati, Sara Stiri, Marjan Moradi Fath, Davoud Mostafaie, Zahra Rahimi Khalifeh Kandi
Iranian Journal of Nursing and Midwifery Research.2023; 28(3): 339. CrossRef
Care Needs of Advanced Cancer Patients in a Long-term Care Hospital: Patient-Nurse Comparison
Hee-Jung Kang, Kyung-Ah Kang
Asian Oncology Nursing.2023; 23(4): 196. CrossRef
Validity and Reliability of the Korean version of Nurses' Attitudes towards the Forensic Psychiatric Patients Scale (NAFPPS-K)
Moonju Song, Yul-Mai Song, Kuem Sun Han
Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(3): 304. CrossRef
Adaptation into Turkish and evaluation of the psychometric properties of the Spiritual Care Competence Scale
Esra Nur Kabakci, Neşe Çelik
Central European Journal of Nursing and Midwifery.2022; 13(2): 648. CrossRef
Adapting and Validating the COVID-19 Vaccine Hesitancy and Vaccine Conspiracy Beliefs Scales in Korea
Hyesung Ock, Mihyeon Seong, Insook Kim
Healthcare.2022; 10(11): 2274. CrossRef
Validity and reliability of the spiritual care competency scale for oncology nurses in Taiwan
Hui-Fen Fang, Henny Dwi Susanti, Lindelwa Portia Dlamini, Nae-Fang Miao, Min-Huey Chung
BMC Palliative Care.2022;[Epub] CrossRef
Structural Equation Modeling on Spiritual Nursing Care of Clinical Nurses Based on the Theory of Planned Behavior
Sunhee Lee, Mi Kyoung Kim, Eun-Young Hong, Jai Jung Lee, Hyun Joo Kim, Hyung Sook Kim, Dong Yeon Kim, Ran Hee Park, Ja Young Ban, Myung Hee Park, Sun Hee Yun, Soo Jung Lim
Korean Journal of Adult Nursing.2022; 34(1): 27. CrossRef
Hospice palliative care nurses’ perceptions of spiritual care and their spiritual care competence: A mixed‐methods study
Kyung‐Ah Kang, Jiyoung Chun, Hyun Yong Kim, Hyeon‐Young Kim
Journal of Clinical Nursing.2021; 30(7-8): 961. CrossRef
Validation of the Korean Version of the COVID-19 Phobia Scale (K-C19PS)
Mihyeon Seong, Misoon Lee, Insook Kim, Miran Kang
International Journal of Environmental Research and Public Health.2021; 18(7): 3747. CrossRef
Psychometric properties of the Chinese version of the spiritual care competency scale in nursing practice: a methodological study
Yanli Hu, René Van Leeuwen, Fan Li
BMJ Open.2019; 9(10): e030497. CrossRef
Validation of a Korean Version of the Spiritual Care Competence Scale
Kyung-Ah Kang, Youngsim Choi, Shin-Jeong Kim
Journal of Hospice & Palliative Nursing.2019; 21(5): 453. CrossRef

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Prerequisite for Korean Advance Directives: From the View of Healthcare Providers: Shin Mi Kim, Sun Woo Hong, Young Eun, Su Jin Koh; J Korean Acad Nurs 2012;42(4):486-495. Published online August 31, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.4.486

Abstract PDF

Purpose

The purpose of this study was to explore the main prerequisite for Korean Advance Directives [KAD] to ensure their better use.

Methods

Data were collected from two focus group interviews and individual email responses. Study participants were 5 doctors and 6 nurses. All interview data were transcribed and analyzed using qualitative content analysis.

Results

Three main themes emerged; establishing a philosophy of KAD, protocol to practice KAD, and the KAD document itself. A philosophy is needed to ensure individual needs, consensus to practice AD and identify principle agents. The core of protocol was found to be as follows; 1) process, 2) premise, 3) procedure, 4) contextual preparation, 5) timing, 6) feasibility. Component and feasibility need to be established for the document itself.

Conclusion

For a positive acceptance of KAD in Korean society, a culture sensitive, reality based, and user friendly AD needs to be developed.

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Barriers to Counseling on Advance Directives Based on Counselors’ Experiences: Focus Group Interviews
Yejin Kim, Shin Hye Yoo, Wonho Choi, Min Sun Kim, Hye Yoon Park, Bhumsuk Keam
The Korean Journal of Hospice and Palliative Care.2020; 23(3): 126. CrossRef
Development of Advance Directives for Nursing Home Residents
Kyem Ju Lee, Sung Ok Chang
Journal of Korean Gerontological Nursing.2019; 21(2): 75. CrossRef
Feasibility of the Korean-Advance Directives Among Community-Dwelling Elderly Persons
Shinmi Kim, Sun Woo Hong, JinShil Kim
Holistic Nursing Practice.2017; 31(4): 234. CrossRef
End-of-life care decisions using a Korean advance directive among cancer patient–caregiver dyads
Shinmi Kim, Sujin Koh, Kwonoh Park, Jinshil Kim
Palliative and Supportive Care.2017; 15(1): 77. CrossRef
Validation of the Decisional Conflict Scale for Evaluating Advance Care Decision Conflict in Community-dwelling Older Adults
JinShil Kim, Shinmi Kim, Sun Woo Hong, Se-Won Kang, Minjeong An
Asian Nursing Research.2017; 11(4): 297. CrossRef
Predictors of Agreement With Writing Advance Directives Among Older Korean Adults
Jaewon Park, Jun-Ah Song
Journal of Transcultural Nursing.2016; 27(6): 574. CrossRef
Relationship of social support and decisional conflict to advance directives attitude in Korean older adults: A community‐based cross‐sectional study
JuHee Lee, Dukyoo Jung, MoonKi Choi
Japan Journal of Nursing Science.2016; 13(1): 29. CrossRef
The Evaluation of the Korean Advance Directives (K-AD)
KiSook Kim, Shinmi Kim, Sunwoo Hong, JinShil Kim
The Korean Journal of Hospice and Palliative Care.2016; 19(2): 109. CrossRef
The Current Status of End-of-Life Care in Korea and Legislation of Well-Dying Act
Ji Eun Lee, Ae Jin Goo, Be Long Cho
Journal of the Korean Geriatrics Society.2016; 20(2): 65. CrossRef
Ethical Attitudes according to Education and Clinical Experience of Do-Not-Resuscitate (DNR)
Young Ae Kae, Mi Yeon Lee, Jin Sook Park, Hyo Joo Kim, Tae Youn Jung, Bo Young Jang, Yoon Jeong Kim, Dong-Hoe Koo
The Korean Journal of Hospice and Palliative Care.2015; 18(3): 208. CrossRef
Feasibility Evaluation of Korean Advance Directives (K-AD)
Shin Mi Kim, Sun Woo Hong, Jin Shil Kim, Ki Sook Kim
The Journal of Korean Academic Society of Nursing Education.2014; 20(4): 639. CrossRef
Factor structure investigation of perceived facilitators and barriers in end‐of‐life care among Korean nurses
JuHee Lee, Mona Choi, So‐sun Kim, Renea Beckstrand
Japan Journal of Nursing Science.2014; 11(2): 135. CrossRef
Facilitators and Barriers to Use of Advance Directives in Korea
JinShil Kim, Shinmi Kim, Sunwoo Hong
Journal of Hospice & Palliative Nursing.2013; 15(7): 410. CrossRef
Development of a Korean Version of an Advance Directive Model via Cognitive Interview
Shin Mi Kim, Young Sun Hong, Sun Woo Hong, Jin Shil Kim, Ki Sook Kim
Korean Journal of Hospice and Palliative Care.2013; 16(1): 20. CrossRef
Development of a Korean Version of an Advance Directive Model via Cognitive Interview
Shin Mi Kim, Young Sun Hong, Sun Woo Hong, Jin Shil Kim, Ki Sook Kim
The Korean Journal of Hospice and Palliative Care.2013; 16(1): 20. CrossRef
Knowledge regarding Advance Directives among Community-dwelling Elderly
Sun Woo Hong, Shin Mi Kim
The Journal of Korean Academic Society of Nursing Education.2013; 19(3): 330. CrossRef

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Effects of an Elder Health Promotion Program using the Strategy of Elder Health Leader Training in Senior Citizen Halls: Mee Ock Gu, Young Eun, Eun Sim Kim, Hwang Ran Ahn, In Soo Kwon, Hyun Sook Oh, Young-Sil Kang, Myun Sook Jung, So Young Choi, Kyung Mi Sung, Hye Yeon Kang; J Korean Acad Nurs 2012;42(1):125-135. Published online February 29, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.1.125

Abstract PDF

Purpose

This study was conducted to develop and test the effects of an elder health promotion program and apply strategies for elder health leader training sessions with elders at senior citizen halls.

Methods

A nonequivalent control group pretest-posttest design was used. Participants were 49 elders at a senior citizen hall (intervention: 27, control: 22). The elder health promotion program consisted of health education and exercise. A professional leader led the program for 4 weeks, and then an elder health leader and research assistant led for 8 weeks (total 12 weeks). Scales for elder health promoting behaviors, perceived health status, life satisfaction and senior citizen hall capability were used and physical fitness levels were measured. Data were collected between April 21 and July 28, 2010 and analyzed using Chi-square, Fisher's exact test, t-test, and repeated measure ANOVA with SPSS/WIN 12.0.

Results

Health promoting behaviors, physical fitness, perceived health status, and senior citizen hall capacity were significantly better in the experimental group after the intervention compared to the control group.

Conclusion

Study findings indicate that elder health promotion programs applying strategies of elder health leader training are effective and can be recommended as nursing interventions for health promotion of these elders.

Citations

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Effects of Integrated Dementia Managing Programme for the Elderly with Mild Dementia in Nursing Home
Meung Sook Ahn, Hyun Sook Jo
Journal of Korean Academy of Community Health Nursing.2019; 30(4): 550. CrossRef
The Effects of a Health Mentoring Program in Community-dwelling Vulnerable Elderly Individuals with Diabetes
Ki wol Sung, Hye Seung Kang, Ji Ran Nam, Mi Kyung Park, Ji Hyeon Park
Journal of Korean Academy of Nursing.2018; 48(2): 182. CrossRef
Effects of a Health Promotion Empowerment Program Using a Resident Volunteer as a Lay Health Leader on Frail Elders' Health and Empowerment
Jeong Sook Park, Yun Jung Oh
Journal of Korean Academy of Community Health Nursing.2018; 29(3): 335. CrossRef
Effects of Peer Mentoring Program on the Health Conservation in Elderly Women with Osteoarthritis
Jiran Nam, Kiwol Sung
Journal of Korean Academy of Community Health Nursing.2017; 28(3): 227. CrossRef
Effects of Exercise Program for Women of Old-Old Age in Senior Citizen Halls based on Pender's Health Promotion Model
Kyoung Im Lee, Young Eun
Journal of muscle and joint health.2016; 23(2): 71. CrossRef
Analysis on Characteristics of Indoor Environment and Satisfaction Level of Users of Senior Centers in Jeonju Residential Areas
Insoo Jeoong, Xiangwei Meng
Journal of the Korean Housing Association.2016; 27(6): 31. CrossRef
Factors Influencing Physical Activity in Elderly Women at Senior Citizen Centers
Kyung Hee Seo, Young Eun
Journal of muscle and joint health.2015; 22(3): 236. CrossRef
Developing a Community Capacity Builded Exercise Maintenance Program for Frail Elderly Women
Yeon Hee Choi, Sun Yi Hong
The Korean Journal of Rehabilitation Nursing.2015; 18(2): 153. CrossRef
A Comparative Study on Influencing Factors of Health Related Quality of Life of the Elderly in Senior Center by Region : Focus on Urban and Rural Areas
Soon-Ok Yang, Hae-Ryun Cho, Seung-Hee Lee
The Journal of Digital Policy and Management.2014; 12(1): 501. CrossRef
The Relationships between Social Determinants of Health and Health-related Quality of Life among the Community-dwelling Elderly
Junghee Kim, Hyeonkyeong Lee, Chung Yul Lee, Eunhee Cho
Journal of Korean Academy of Community Health Nursing.2014; 25(4): 237. CrossRef
The Effects of an Exercise Program using a Resident Volunteer as a Lay Health Leader for Elders' Physical Fitness, Cognitive Function, Depression, and Quality of Life
Yeon-Hee Choi, Na-Young Kim
Journal of Korean Academy of Community Health Nursing.2013; 24(3): 346. CrossRef

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Development and Effectiveness of a Spiritual Care Education Program for Nursing Students - Based on the ASSET Model: Mi Ja Chung, Young Eun; J Korean Acad Nurs 2011;41(5):673-683. Published online October 31, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.5.673

Abstract PDF

Purpose

This study was done to develop a spiritual care education program (SCEP) for nursing students to help increase their awareness of the essence of spirituality in care so as to enable them to promote spiritual well-being and spiritual care competence.

Methods

The participants were assigned to an experimental group (n=42) or a control group (n=39). From August to October 2009, the experimental group participated in the SCEP, which were held 2 hours a week for 6 weeks. The data were analyzed using χ²-test, Fisher's exact probability test, paired t-test, t-test with the SPSS WIN 17.0 statistics program.

Results

The experimental group had a higher mean score for spirituality, spiritual well-being and spiritual care competence than the control group. Significant differences were found between the experimental group and the control group.

Conclusion

The results of this study indicate that the SCEP was effective in improving spirituality, spiritual well-being and spiritual care competence for nursing students.

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The impact of a nursing spiritual care module on nursing competence: an experimental design
Ali H. Abusafia, Adam Mahmoud Salameh Khraisat, Ola K. Tableb, Khalid Al-Mugheed, Amany Anwar Alabdullah, Sally Mohammed Farghaly Abdelaliem
BMC Palliative Care.2024;[Epub] CrossRef
Spiritual nursing education programme for nursing students in Korea: a systematic review and meta-analysis
Hyun-Jin Cho, Kyoungrim Kang, Kyo-Yeon Park
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Structural Equation Modeling on Spiritual Nursing Care of Clinical Nurses Based on the Theory of Planned Behavior
Sunhee Lee, Mi Kyoung Kim, Eun-Young Hong, Jai Jung Lee, Hyun Joo Kim, Hyung Sook Kim, Dong Yeon Kim, Ran Hee Park, Ja Young Ban, Myung Hee Park, Sun Hee Yun, Soo Jung Lim
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Nursing & Health Sciences.2015; 17(4): 426. CrossRef
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Barriers to Health Behaviors in Male and Female Elderly People in Korea: Young Eun, Mee Soon Song, Mee Ock Gu; Journal of Korean Academy of Nursing 2008;38(2):332-343. Published online April 30, 2008; DOI: https://doi.org/10.4040/jkan.2008.38.2.332

Abstract PDF

Purpose

This study was done to investigate the practice level of 14 health behaviors between male (N=139) and female (N=175) elderly and to identify the barriers to each health behavior of elderly people in Korea.

Methods

Data were collected from 314 elderly people (65 yr and older) living in metropolitan, urban, and rural areas. Descriptive statistics, χ²-test and ordinal logistic regression were used in data analysis using the SPSS Win 15 version.

Results

1) The performances were different in some health behaviors between male and female elderly people. Male elderly showed better performances in balanced diet, regular exercise, and more than 30 min of exercise, while female elderly showed better performances in restriction of fat and cholesterol, restriction on alcohol, and smoking. There were no differences in stress management and health prevention behaviors between the two groups. 2) The common significant barriers in health behaviors of the elderly in Korea were the lack of habit and physical discomfort. However, the lack of perceived benefit was a significant barrier in male elderly. Lack of time and lack of family support were significant barriers in female elderly people in Korea.

Conclusion

These results suggest that tailored strategies should be developed considering the gender difference to reduce the main barriers of each health behavior in order to improve the health status of elderly people.

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Z‐Score‐Based Improved TOPSIS Method and Its Implementation for Elderly People Health Examination Results Evaluation: A Statistic Case Study in Harbin, China
Xiao Wang, Xu Yang, Jie Zhou, Huibin Ren, Mucahit Aydin
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Journal of the Korean Geriatrics Society.2013; 17(1): 7. CrossRef
An Exploratory Study of Factors associated with the Health Behavior of Working Elderly with Chronic Diseases
Dong Ok Kim, Soon-Nyung Yun
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Jeong Soo Kim
Journal of Korean Public Health Nursing.2012; 26(3): 428. CrossRef
Factors Affecting Health-Promoting Behaviors of Community-Dwelling Korean Older Women
Young Mi Lim, Mi Hae Sung, Kyung Sook Joo
Journal of Gerontological Nursing.2010; 36(10): 42. CrossRef
Women's Cancer Screening According to Body Mass Index in a Cohort of Rural Korean Women
Bo Hwan Kim, Sang Baek Koh, Hea Kung Hur, Jong-Ku Park, So Mi Park
Journal of Korean Academy of Nursing.2009; 39(5): 641. CrossRef

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The Development & Effect of an Tailored Falls Prevention Exercise for Older Adults: Mee Ock Gu, Mi Yang Jeon, Young Eun; Journal of Korean Academy of Nursing 2006;36(2):341-352. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2006.36.2.341

Abstract PDF

Purpose

This study was conducted to develop and to determine the effect of an tailored falls prevention exercise for older adults.

Method

Subjects consisted of 59 older adults (experimental group : 29, control group : 30) living at nursing homes. Experimental group participated in tailored falls prevention exercise for 16 weeks (3 times a week, 50 min every session). Data were collected before the exercise, 16 weeks and 24 weeks after the beginning of exercise.

Results

1) the experimental group significantly improved the muscle strength of hip extensor and flexor, knee extensor and flexor, ankle dorsiflexor, and plantar flexor compared to the control group. 2) the experimental group significantly decreased the mean time for 10 times chair stand. 3) the experimental group significantly increased the standing time on one leg and the number of heel raise for 30 seconds compared to the control group. In addition more older adults in the experimental group completed the tandem stance and semi-tandem stance for 10 seconds than the control group. 4) The experimental group significantly decreased the mean time of 6m walk and the fall frequency compared to the control group.

Conclusions

This results suggest that tailored falls prevention exercise for older adults can improve muscle strength, static and dynamic balance and decrease the fall frequency of older adults.

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Role-Identity of Home Care Nurse Practitioners: Sung Jae Kim, Myung Sun Yi, Young Eun, Moon Hee Ko, Joo Hyun Kim, Dong Ok Kim, Haeng Mi Son, Kyung Sook Choi; Journal of Korean Academy of Nursing 2006;36(1):103-113. Published online February 28, 2006; DOI: https://doi.org/10.4040/jkan.2006.36.1.103

Abstract PDF

Introduction

It is important to understand the nature of the identity through the live experiences of Home Care Nurse Practitioner(HCNP) because the role identity of a professional is constructed by continuous social interactions, This study aims to understand the construction of the role identity of HCNP.

Method

Data was collected from 12 hospital based HCNPs. This study involved two focus group discussion sand four in-depth individual interviews. The main question was “what is the role of HCNP?” The debriefing notes and field notes were analyzed using consistent comparative data analysis method.

Result

First, Home care (HC) is a small clinic. HCNP brings it to home to provide various services. Second, HC is the real nursing and HCNP is the ‘genuine’ nurse who actualizes the essence of nursing in practice. Third, HC is empowering activity to promote self-care ability of the patients and their caregivers. Forth, HC is like the dish-spinning required high-level mastery and HCNP is an expert who provides the most appropriate services to the patients.

Conclusion

HCNPs have the role identity as a highly qualified professional who delivers services from hospital to home, actualizes the essence of nursing in practice, empowers the patients and their caregivers to have self-efficacy to recover, and offers the most appropriate nursing care.

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A Review of Exercise Interventions for Fall Prevention in the Elderly: Mee Ock Gu, Mi Yang Jeon, Hee Ja Kim, Young Eun; Journal of Korean Academy of Nursing 2005;35(6):1101-1112. Published online October 31, 2005; DOI: https://doi.org/10.4040/jkan.2005.35.6.1101

Abstract PDF

Purpose

This study was done to suggest directions for developing exercise interventions for fall prevention in the elderly in Korea in the future.

Method

Twenty five articles for fall prevention exercises were reviewed and analyzed.

Result

84.0% of subjects were older adults age 65 and older living in the community. The most frequently performed interventions were lower limb strength and balance exercises together 43.3%, group exercise 70.0%, exercise 3 times/week 60.0%, 60 min per session 36.7%, duration of 12 weeks and 1 year 23.3% each. The most frequently used outcome variables were static balance 84.0%, lower limb muscle strength 72.0%, dynamic balance 56.0 %, and falls 56.0 %. The effect of exercise interventions on fall prevention was inconclusive. Lower limb strength exercises with resistance were effective for increasing muscle strength. Balance exercises with various movements for balance were effective for increasing balance.

Conclusion

Exercise interventions for fall prevention is recommended for older adults with risk factors of falling. The desirable type of exercise intervention is lower limb strength and balance exercise together.

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Patient-Nurse Collaboration in Nursing Practice: A Korean Study: Dal Sook Kim, Young Eun, Hesook Suzie Kim; Journal of Korean Academy of Nursing 2002;32(7):1054-1062. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2002.32.7.1054

Abstract PDF

INTRODUCTION: Consumerism is prevailing value in Korean society, while there has been little concern about it especially in Korean nursing society even though there has been an increasing emphasis on patients' participation in decisions concerning health care and nursing as an ideal in the literature. OBJECTIVES AND METHODS: The study with survey method was carried out to examine the nature of collaboration between patient and nurse in nursing practice in Korea through a replication of the studies carried out in US, Norway, Finland, an Japan (Kim et al., 1993) and to revise and test Kim's explanatory model of collaborative decision making in nursing practice from the Korean perspectives. RESULTS & CONCLUSIONS: Both patients and nurses as groups exhibited pro-consumerist attitudes regarding collaboration in health care, while there were significant differences in attitudes and perceptions of patients and nurses. These findings are similar to those of Kim et al.' s study carried out in US, Norway, Finland, and Japan. Nurses as a group compared to patients held stronger health-care consumerist attitudes and beliefs in general. However, the Korean nurses seem to hold a weaker attitude for challenging professional authority. And the Korean patients compared to the nurses seem to hold stronger belief in the patient's right to information, as found in US, Finland, and Japan. Regarding the nurse patient collaborative attitude in decision making, it revealed that one third or more of the patients as a group believe in the patients' right to be informed of decisions that nurses make for their patients, while another one third or more of them believe in the patients' right for advisory role and joint role in nursing care decision making. This result for the patients is very similar as those found in US, Norway, Finland, and Japan. However, the attitude for the nurses held stronger agreement with patients' to be informed of decision making that nurses make than the patients' right for advisory and joint role. The nurses have weaker belief in patients' self determination on their care than the patients. The results of path analyses confirmed the explanatory models that tested two explanatory models examining the factors contributing to the differences in the attitudes of patients and nurses. The path model for nurses identified nurses' lengths of experience as the important factor explaining attitudes regarding challenging professional authority and the patient's rights for information. The path model for patients identified the level of education as the most significant factor that explains patients' attitudes regarding the rejection of general authority, challenging professional authority, and the patient's right for participation in decision making.

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The Evaluation of a Health Promotion Program for the Community resident Older Adults: Mee Ock Gu, Young Sil Kang, Eun Sim Kim, Hoang Lan Ahn, Hyun Sook Oh, Young Eun; Journal of Korean Academy of Nursing 2002;32(3):384-394. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2002.32.3.384

Abstract PDF

PURPOSE: This study was conducted to evaluate the process & outcome of a Health promotion program(Growing Younger & More Active) for the community resident older adults from March to December, 2001. METHOD: A quasi experimental research(one group pretest-posttest design) was used in this study. The subjects were 82 older adults(but 40 older adults 4 weeks after the program). Program had 5 sessions(10 hours) once a week. Data were collected before the program, immediately after & 4 weeks after the program and were analyzed with paired t-test. RESULT: The levels of Satisfaction, Interest & Understanding of the Program were high. Significant differences were found in health knowledge, health promoting behaviors, perceived health status and life satisfaction between before program and immediately after program as well as between before program and 4 weeks after program, but no significant differences in Health attitude. Self efficacy has significant difference only between before program and immediately after program , but no significant differences between before program and 4 weeks after the program. CONCLUSION: This results suggest that a Health promotion program for the community resident older adults developed this study is effective. So this program can be recommended as an effective nursing intervention for the health promotion of the older adults living in community.

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The Development of a Continuing Nursing Care Program for Cancer Patients after Discharge: In Soo Kwon, Young Eun; Journal of Korean Academy of Nursing 2001;31(1):81-93. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.1.81

Abstract PDF

The purpose of this study was to develop a continuing nursing care program for cancer patients and the caregivers staying at their home and to test its effects on patients' symptom distress, caregiver burden, and satisfaction of life. The continuing nursing care program was based on the homecare needs of cancer patients, and was provided by three clinical nurses who took care of the patients while they were hospitalized. The program consisted of discharge education about selfcare using education materials(book and handout) and provisions of direct care. These were counselling and education during which visiting patients' home one week after discharge and telephone counseling two weeks after discharge. Counseling by telephone was always available during the research period. A quasi-experimental research design was used to test the effects of the program. Subjects for this study were 53 cancer patients discharged from the hospital and caregivers. These subjects were assigned to an experimental group (n=23) receiving continuous nursing care, or to a control group (n=30) not receiving continuous nursing care. Data from control group was collected first to protect from contamination. Data collection was done from October of 1998 to February of 2000. The collected data was analysed using mean, t-test, and chi-square test computed by SPSS software. The summary of results was as follows: 1) The symptom distress was a little decreased at posttest, but there were no significant differences between the experimental and the control group in symptom distress. 2) The score of caregiver burden was significantly decreased in experimental group at posttest, but no differences in control group. 3) There were no significant differences between the experimental and control group in the satisfaction of life. 4) The score of satisfaction of continuing nursing care program in experimental group at posttest was 2.321 of 3. In conclusion, even though this study did not obtain evidence of effectiveness of continuing nursing care program on patients, such as. It is still expected to be effective by a more improved program. Therefore we want to give some suggestions for further studies. 1) It is needed to make a communication channel with the patient's doctor to response promptly and appropriately to patient's conditions. 2) The research is necessary on patients in terminal stage or early stage of cancer diagnosis who have many nursing needs. 3) It is needed to readjust the roles and job assignment of clinical nurse to implement effectively as a program provider.

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A Theory Construction on the Care Experience for Spouses of Patients with Chronic Illness: Kyung Sook Choi, Young Eun; Journal of Korean Academy of Nursing 2000;30(1):122-136. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.1.122

Abstract PDF

Chronic illness requiring attention and management during a long period of time puts great burden onto patients, their family and society. For patients with chronic illnesses, providing social support is the most important, and the fundamental support comes from their spouses. Amount and quality of support from spouses seems to differentiated according to the sex of patients. Female patients tend to believe that their spouses are not very supportive. Therefore, the researchers assessed the burden of husbands of female arthritis patients to discover the factors that result in greater burden. Also, they developed a theoretical model of husbands' care for their wives through a qualitative research into husbands' experience.
Method
1: The study material was 650 female arthritis patients registered in an arthritis clinic. The questionnaire about the disease experience of female arthritis patients and the burden of husbands were sent. Returned questionnaires numbered 210(32.3%) and 27 were excluded because of inadequate answers. The remaining 183 questionnaires were analyzed. The mean age of the patients was 51 years and the mean age of spouses was 55 years. The mean marital period was 28 years. The average duration since diagnosis was 9.1 years. Education level was varied from primary school to graduate school, and average income/month was 1,517,300 won.
Method
2: Initial questionnaire studies on the burden of husbands were performed. Among 183 responding husbands, 23 consented to participate for a qualitative research. Data was obtained by direct and telephone interviews. The mean age of participants was 58 years, and the educational level and socioeconomic status also varied.
Result
1. Husbands' burden: The average burden was 57.68 with a range of 6-96. 2. Burden and general characteristics: The husband's burden correlated with the age of the patients, numbers in the family, therapy methods, patient's level of discomfort, patient's disease severity, patient's level of dependence and the husband's understanding of the level of severity. 3. Linear correlation analysis on burden: The husbands' burden is explained in 22.5% by husband's recognition of level of severity and husbands' age. 4. There were four patterns of the burden on husbands: both objectve burden and subjective burden were high(pattern I), both of objectve burden and subjective burden were low(pattern II), objective burden was high but subjective burden was low(pattern III), objective burden was low but subjective burden was high(pattern IV). The pattern was correlated with the family income, educational level of the patients and their husbands, therapy methods, patient's level of discomfort, patient's disease severity, patient's level of dependence and husband's understanding of level of severity. 5. The core category of the caring experience of the husbands with arthritis patients was "companionship". The causal factor was the patients' experience due to symptoms : physical disfigurement, pain, immobility, limitation of house chores, and limitation of social activities. Contextural factors are husbands' identification of housework and husbands' concern about the disease. The mediating factors are economic problems, fear of aging, feeling of limitation and family support. The strategy for interaction is mind control and how to solve emotional stress. The "companionship" resulted from caring activities, participation of household activities, helping patients' to coping with emotional experience. 6. Companionship is established through the process of entering intervention, and caring state of mind. Entering intervention is the phase of participation of therapy and involvement of houseworks. The caring phase consists of decision on therapy, providing therapy, providing direct care, and taking over the household role of wife. Through caring phase, the changing phase set a stage in which husbands consolidate the relationship with their wives, and are reminded of the meaning of marriage. As a result, in changing phase, husbands' companionship is enhanced. In conclusion, nursing care of chronic illnesses should include a family member especially the spouse. All information on disease shoud be provided to patients and whole family member. Strong support should also be provided to overcome difficulties in taking over role of other sex. Then the quality of life of patients and families will be much improved.

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The Homecare Needs of Cancer Patients: In Soo Kwon, Young Eun; Journal of Korean Academy of Nursing 1999;29(4):743-754. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.4.743

Abstract PDF

The purpose of this descriptive study was to identify the homecare needs of patients with cancer and to provide a basis of interventions. One hundred and two patients at one general hospital in Gyeongnam responded to a questionnaire developed on the basis of care needs perceived by nurse caring for hospitalized patients with cancer. The questionnaire was a Likert type 5 point scale with 56 items on five need categories ; 1) informational 2) physical care 3) emotional care 4) socioeconomic care and 5) special care needs. Internal consistency of this questionnaire was Cronbach's alpha=.9101 for total items. The data was collected from March 1st to May 31th, 1998, by tow graduate nurses. In the data analysis, mean & standard deviation were calculated to identify the degree of care need of each item, and the t-test & ANOVA were done to determine the effects of patients' demographic background on their care needs. The findings are summarized as follows ; 1) The mean score of total of need items was 3.048. Of the four need categories the highest score was informational at 3.4, followed by emotional care, 3.063, physical care, 2.623, and socioeconomic care, 2.599. 2) In the informational and category there were four subcategories with 19 items. Medication and pain control had the highest score, 3.755 ; second was diet and exercise, 3.613 ; third was disease and treatment process, 3.337 ; and last was personal hygiene and infection prevention at 2.687. 3) In the physical care need category there was nine items, IV infusion for nutrition and management of treatment complication was above 3.2 points and the remaining items were in the 2.847-2.070 score ranges. 4) In the emotional care need category there were seven items. The highest need was in support for relationships with health personnel, 3.673. The need for support of religions beliefs and support fir having a religion were low at about 2 points. 5) In the socioeconomic care need category there were six items. Support for medical insurance expansion and financial support were above 3 points. Legal support and support for caring of children were low in the care needs. 6) In the special care need category the there were 15 items. Informational need about immunization and informational need about effects of disease on growth and development were high, above 4.1 points. Need for decubitus care and prevention, sitz bath and incontinence care were low, below 2 points. 7) There were significant differences in degree of care need according to admission rate, education level, marital status, religion and caregiver's religion. In conclusion, homecare needs perceived by hospitalized patient's with cancer was moderate, but informational need was higher than direct care needs, leading to the conclusion that the provision of sufficient information to patients with cancer at discharge is needed. Nursing interventions should be developed considering the patient's background.

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Su Kyoung Kim, Yu Seong Hwang, Minsu Ock, Heui Sug Jo
Journal of Korean Medical Science.2023;[Epub] CrossRef
The relation between comprehensive health needs of cancer patient and the quality of life
Hyung-Won Baik, Myung Kim
Journal of Digital Convergence.2014; 12(12): 477. CrossRef
Physical and Psychospiritual Care Need by End-of-life Stages among Non-cancer Patient at Home: Based on the Importance and Difficulty of Care Need
Jong-Eun Lee, Soon-Lae Kim
Journal of Korean Academy of Community Health Nursing.2012; 23(2): 127. CrossRef

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A Study of the Relationships among Health Promoting Behaviors, Health Locus of Control(HLOC), and Response Patterns to HLOC in Korean Elderly: Young Eun, Mee Ok Gu; Journal of Korean Academy of Nursing 1999;29(3):625-638. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.3.625

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The purpose of this study was to identify the relationships among health promoting behaviors, Health Locus of Control(HLOC), and response patterns to Hloc in Korean elderly. The sample was composed of 162 healthy elderly ranging in age from sixties to eighties. The instruments foe this study were modified Health Promoting Lifestyle Profile (45 items, 4 scales), and Multidimensional Health Locus of Control (18 items). For the in data analysis, SPSS PC+program was utilized for descriptive statistics, Pearson correlation, t-test, ANOVA, and Stepwise multiple regression. The results of the study are as follows: 1. The total mean score for the HPLP was 2.411(range 1-4), and the mean scores on the subscales were 3.324 for nutition, 2.709 for interpersonal support, 2.495 for exercise, 2.225 for health responsibility, 2.205 for exercise, 2.225 for health responsibility, 2.205 for self actualization, 2.026 for stress management. 2. The mean scores patterns of the HLOC identified eight types, pure internal, pure powerful others, pure chance, double external, believers in control, yea sayer, nay sayer and complex control, the "believers in control"was the largest group(22.8%), and "yea sayer" was the next largest group(17.9%). The "nay ayer"(5%) was the smallest group. 3. Demographic variables, such as education, economic status, religion and the perception of the health status showed strong connections to health promoting behaviors. 4. Demographic variables, such as education, economic status, religion and the perception of the health status showed strong connections to health promoting behaviors. 5. The HLOC-I and health promoting behavior were correlated positively(r=.165, P=.017), but the HLOC-P, the HLOC-C and the health promoting behavior were not correlated at the level of statistical significance. 6. There was not significant difference in health promoting behavior depending on the response patterns of the HLOC(F=1.171, P=.108). But, There were significant differences in two subscales of health promoting behavior : exercise(F=3.279, P=.002), and stress management (F=3.165, P=.003). 7. Education, the perception of the health and economic status explained 21.0% of the variance for health promoting behaviors. These results suggest that several demographic factors are important factors in predicting the level of health promoting behaviors in elderly. So to enhance the health promoting behaviors, nurses should use the different nursing strategies depending on the demographic characters of the elderly.

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Development of the Competency Model for Prevention of Adolescent Risk Behavior
Hyun Sook Park, Sun Young Jung
Journal of Korean Academy of Nursing.2011; 41(2): 204. CrossRef
Health Locus of Control, Exercise Self-efficacy, and Exercise Benefits/Barriers of Female College Students
Ju Young Ha
Korean Journal of Women Health Nursing.2010; 16(2): 116. CrossRef
Factors Affecting Health-Promoting Behaviors of Community-Dwelling Korean Older Women
Young Mi Lim, Mi Hae Sung, Kyung Sook Joo
Journal of Gerontological Nursing.2010; 36(10): 42. CrossRef
Barriers to Health Behaviors in Male and Female Elderly People in Korea
Young Eun, Mee Soon Song, Mee Ock Gu
Journal of Korean Academy of Nursing.2008; 38(2): 332. CrossRef

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Nurse's Perception in the Homecare Needs of Cancer Patient: In Soo Kwon, Young Eun; Journal of Korean Academy of Nursing 1998;28(3):602-615. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1998.28.3.602

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The purpose of this descriptive study was to identify th homecare needs of the discharged patient with cancer as perceived by nurses caring hospitalized cancer patients. At two hospitals in Gyeognam, 74 nurse responded to an open-ended questionnaire consisting of four need categories; 1) educational and information need, 2) physical need, 3) emotional need, 4) social need. Respondents were asked to list above ten needs of cancer patient in each category. Two researchers analyzed the data by content analysis method. The finds are summarized as follows; 1) A total of 1,417 need items were generated by nurses. The largest number of needs were in the educational and information need category(475 items, 36.3%). Physical (414 items, 31.6%), emotional (237 items ,18.1%) need were the second, third largest, and social(184 items, 14.0%) need made up the smallest category. 2) In the educational and informational need category, there were seven subcategories of prognosis, diet and exercise, medication and pain, wound care, folk remedy, personal hygiene, comfort. The need items related to prognosis of cancer accounted for almost a half(48.2%) of the total. 3) In the physical need category, there were ten subcategories of personal hygiene, skin and tissue, nutrition, side effect on treatment, exercise, pain, elimination, equipment, comfort and safety, others. The largest number of needs were in subcategory of the personal hygiene982 items, 19.8%). 4) In the emotional need category, there were four subcategories of emotional support related to disease, emotional support related to routine life, spiritual support, maintenance of relationship with nurse and doctor. The largest number of need were in subcategory of the emotional support related to disease(96 item, 40.5%). 5) In the social need category, there were five subcategories of support for social life, household management, legal support, the use of volunteer service, financial support. The largest number of needs were in support for social life subcategory(58 item, 31.5%).

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Physical and Psychospiritual Care Need by End-of-life Stages among Non-cancer Patient at Home: Based on the Importance and Difficulty of Care Need
Jong-Eun Lee, Soon-Lae Kim
Journal of Korean Academy of Community Health Nursing.2012; 23(2): 127. CrossRef

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A Study on the Health Promoting Behavior Depending on the Response Patterns of HLOC in Korea Adults: Mee Ock Gu, Young Eun; Journal of Korean Academy of Nursing 1998;28(3):739-750. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1998.28.3.739

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The purpose of this study was to identify the response patterns of Health Locus of Control(HLOC) and to analysis of the health promoting behaviors depending on the response patterns of HLOC in Korean adults. The sample was composed of 300 healthy adults ranged from twenties to seventies to seventies. In data analysis, SPSS PC+ program was utilized for descriptive statistics, person correlation, ANOVA and cluster analysis. The results of the study were as follow : 1. The average score of Hloc in Korean were HLOC-I : 24.12(range 6-30), HLOC-P : 21.72, HLOC-C : 17.46. 2. The total mean score of the health promoting behavior scale was 2.50 (range 1-4), and the mean score on the subscales were ; self actualization 2.60, health responsibility 2.14, exercise 2.28, nutrition 3.16, interpersonal support 2.74, stress management 2.15. 3. The HLOC-I and health promoting behavior were correlated positively(r=0.184, p=0.001), and the HLO-C and the health promoting behavior were correlated negatively(r=-0.102, p=0.039). The HLOC-P and the health promoting behavior weren't correlated in the level of statistical significance. 4. The response patterns of HLOC in Korean adults were identified 6 types, such as pure internal, pure chance, believers in control, yea sayer, nay sayer, and complex control. The type of believers in control and the type of yea sayer were subdivided in two different types. The believers in control was the largest group(33.67%), and yea sayer was the next large group(26.33%). The pure chance and the complex control type was the smallest groups. 5. There was a significant difference in health promoting behavior depending on the response patterns of HLOC(F=2.67, p=0.010). There were also significant differences in 4 subscales of health promoting behavior : self actualization(F=3.12, P=0.038), nutrition(F=5.08, p=0.000), and interpersonal support?(F=2.26, p=0.029). These results suggest that the response patterns of HLOC is the important factor to predict the level of health promoting behavior in Korean adults.

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Body Esteem, Stress, and Health Promoting Behavior among Korean Adults in a Community
Minhee Hong, Youngrye Park, Eun Young Chen, Jeong Woo Yun, Mi Hwa Oh
The Korean Journal of Rehabilitation Nursing.2017; 20(1): 61. CrossRef
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Yun-Hee Son, Ji-On Park, Hyun-Sook Hwang
The Journal of the Korea institute of electronic communication sciences.2013; 8(10): 1601. CrossRef

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